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i "' <br />;t': � <br />APPL., ���/ ' APPLICATION FOR SERVICE SERVICE 1�� 2$ <br />No ORDER <br />jf��'f f CITY OF EVERETT WATcR DEPT. 1 �o/ �[).. ���'� <br />� FIXED �� DATE ""' —15.!L <br />� DEPOSITg'�I� �, � y/, ry.0, <br />SERVICE (BV AOORES51�� "'� " t� BLK. �LOT�DD.�/�/-�-,—�—,�). <br />OWNER— . ___.CONTRACTOR----�'C-C�C�✓ L�/'��^ <br />FLAT <br />INSTAL � MLiGRIsLTSERVICE _--- <br />I HEREBY APPIY FOR THE U,+c OF WA7ER IN ACCORDANCE WI7H THE /�, <br />ORDINANCES AND POLICIES OF PHE WATER DEPARTMENT NOW E%ISTING C —( " I <br />OR AS SAME MAY BE NI:REAFTGR CHANGED. s�crveo:X 11� <br />IdATEFIALS i'i IN. I IN. I —2 IN. Ij —\ � PPICE — OUNT <br />PIPE �GOPPER 1GALV. •- STEEL �� I I 1 I\ I. \ IJ(� <br />_� <br />GORF'ORATION <br />CURB COCK �O'� <br />SERVICE BOX PLA'. <br />METER VALVE <br />METER No. <br />METER BOX CONCRETE <br />DATEINSTALLE�: <br />i_" //. - <br />GODE � <br />REMARKS: <br />CI <br />TYPE: � :e <br />SMAI.L LARGE <br />/,": ; t � � <br />-I � ON <br />�-OFF <br />LIBOR ANO [CUIPtAENT RENTAL <br />; ��- <br />• i, /� �L1 C� � <br />-.�_z �_�_ �, n�, ��_p= --- - <br />SUB TOTAL <br />HOUP9 I RATE <br />) I'._ <br />m <br />z �; <br />TOTAL <br />197 <br />I� <br />! 13� <br />�1�J <br />� � <br />�� <br />/S ' J <br />ir� <br />